Follow the steps to complete your application.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering your last name in the designated field labeled 'Name'.
3. Next, fill in your first name in the field marked 'Vorname'.
4. Provide your street address, including the house number, in the 'Straße, Nr.' field.
5. Enter your postal code and city in the 'PLZ, Ort' section.
6. Input your insurance number in the 'Vers.-Nr.' field.
7. Indicate whether you are taking parental leave for your child by marking the respective box.
8. Fill in the first name and date of birth of your child in the respective fields.
9. Provide the start and end dates of your parental leave; input day, month, and year in the corresponding fields.
10. If you receive parental allowance, check the appropriate box and note the relevant time period, including start and end dates.
11. List your monthly income during parental leave, including any necessary attachments such as tax returns or payslips.
12. If applicable, complete the section regarding your spouse or partner's income and provide the requested documentation regarding shared dependents.
13. If applicable, include details about your children, including their names and birthdates.
14. Complete any additional sections regarding health and care insurance needs.
15. Finally, provide your contact information, including a phone number and email address, and sign and date the form.
16. Once you have filled out all the necessary fields, ensure to save your changes, download, print, or share the form as necessary.

Complete your Techniker Krankenkasse form online today for a seamless submission experience.